Provider Demographics
NPI:1417220401
Name:STILES, BUFFY (RT(R), RDMS, RVT)
Entity Type:Individual
Prefix:MRS
First Name:BUFFY
Middle Name:
Last Name:STILES
Suffix:
Gender:F
Credentials:RT(R), RDMS, RVT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 22093
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59104-2093
Mailing Address - Country:US
Mailing Address - Phone:406-860-2946
Mailing Address - Fax:
Practice Address - Street 1:1216 16TH ST W STE 21
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-4100
Practice Address - Country:US
Practice Address - Phone:406-969-4340
Practice Address - Fax:406-969-4341
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-21
Last Update Date:2020-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT337572471S1302X, 2471V0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonographyGroup - Single Specialty
No2471V0105XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistVascular Sonography